ATI RN
Pharmacology Final ATI Quizlet Questions
Question 1 of 5
The patient tells the nurse, 'I thought I was just depressed, but my doctor says I have bipolar disorder. What is that?' What is the best response by the nurse?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A 33-year-old man with a history of chronic epididymoorchitis is treated with long-term tetracycline antibiotic therapy. During the 3 months of therapy, he develops discoloration of his teeth. What is the most likely explanation for this finding?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 5-year-old boy presents to the emergency room with abdominal pain, nausea, and three episodes of bloody emesis. His mother is concerned because she saw him playing near the open medicine cabinet and her prenatal vitamins were opened. What is the most appropriate treatment for the child's overdose?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A 57-year-old patient, living at home, has severe pain due to a metastatic carcinoma that is being managed with fentanyl, delivered transdermally from a patch. He should also be taking, or at least have on hand
Correct Answer: B
Rationale: Fentanyl, a potent opioid, effectively manages severe cancer pain via transdermal delivery, but constipation is a universal side effect due to mu receptor activation in the gut, reducing motility. Docusate, a stool softener, prevents and treats this by easing bowel movements, essential for patient comfort and compliance. Apomorphine, a dopamine agonist, treats Parkinson's off-periods, irrelevant here. Loperamide, an antidiarrheal, worsens constipation. Morphine duplicates fentanyl's action, unnecessary with a patch. Naloxone reverses overdose, useful in emergencies but not routine. Given fentanyl's chronic use, proactively managing constipation with docusate is critical, as it mitigates a predictable, distressing side effect without altering pain control.
Question 5 of 5
The patient asks the nurse why she needs to continue using table salt because her prescribed lithium (Eskalith) is a salt. What is the best response by the nurse?
Correct Answer: B
Rationale: Lithium, used for bipolar disorder, is a salt processed by the kidneys, which also regulate sodium. Low sodium levels (e.g., from reduced table salt intake) cause the kidneys to conserve lithium instead, increasing serum levels and risking toxicity—symptoms like tremors, confusion, or seizures. Choice B correctly explains this mechanism: adequate sodium intake (via table salt) prevents lithium retention, maintaining therapeutic levels. Choice A confuses the issue with sea salt, which isn't clinically distinct here. Choice C inaccurately suggests adjusting salt reactively, risking toxicity first. Choice D downplays salt's role compared to hydration, which, while important, doesn't negate sodium's necessity. The nurse must clarify that consistent sodium intake is essential for lithium's safe metabolism, making choice B the most accurate and educational response.